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Florida Licensed Medical Bill Reviewer

Company: VirtualVocations
Location: Gilbert
Posted on: February 6, 2025

Job Description:

A company is looking for a Telephonic Case Manager Medical Bill Reviewer.



Key Responsibilities

Review Workers' Compensation provider medical bills for cost containment and compliance with state fee schedules
Document activities and manage correspondence related to medical bill reviews
Analyze and recommend payments to medical providers based on statutory rules and guidelines



Required Qualifications, Training, and Education

Registered Nurse (RN) with a minimum of three years of clinical experience in various hospital specialty units
At least one year of experience in Florida Workers' Compensation case management
Minimum of two years' experience in Utilization Review, preferably in Workers' Compensation
Knowledge of Florida Workers' Compensation Laws, fee schedules, and coding procedures (ICD-10, CPT, HCPCS)
Proficiency in Microsoft Office Suite and other business software

Keywords: VirtualVocations, Gilbert , Florida Licensed Medical Bill Reviewer, Healthcare , Gilbert, Arizona

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